title: [Effect of systematic self-management education on quality of life, anxiety and depression of patients with Type 2 diabetes in communities].
abstract: OBJECTIVE
  To explore the effect of systematic self-management education on quality of life, anxiety and depression of patients with Type 2 diabetes in communities.
  
  
  METHODS
  A total of 248 patients with Type 2 diabetes from 10 communities of Changsha from February 2009 to July 2010 were randomized into an intervention group and a control group. The intervention group received systematic self-management education, while the controls received routine community education. The quality of life, anxiety and depression were measured by adjusted diabetes-specific quality of life scale (A-DQOL), self-rating anxiety scale (SAS) and self-rating depression scale (SDS) respectively.
  
  
  RESULTS
  The quality of life, morbidity of anxiety or depression of the intervention and the control group were comparable at the baseline (P>0.05). One and half year later, there was significant difference between the two groups (P<0.01). Compared with the control group, the intervention group got better quality of life (P<0.01), less morbidity of anxiety (8.94% vs. 44.4%, P<0.01) and depression (23.58% vs. 56.00%, P<0.01).
  
  
  CONCLUSIONS
  Systematic self-management education can effectively improve the quality of life, reduce the level of anxiety and depression of patients with Type 2 diabetes in communities, which deserves further generalization.
authors.affiliation: Department of Endocrinology, Xiangya Hospital, Central South University, Changsha 410008, China.
authors.forename: Qiuhong
authors.initials: Q
authors.lastname: Zhou
authors.forename: Xiangping
authors.initials: X
authors.lastname: Li
authors.forename: Fuzhen
authors.initials: F
authors.lastname: Zou
authors.forename: Liaofang
authors.initials: L
authors.lastname: Wu
authors.forename: Huiling
authors.initials: H
authors.lastname: Chen
authors.forename: Zehao
authors.initials: Z
authors.lastname: Liu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000209:etiology / Q000523:psychology; D003863:Depression / Q000209:etiology / Q000523:psychology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000523:psychology*; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012648:Self Care / Q000379:methods*